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Session Laws, 2004
Volume 801, Page 1077   View pdf image
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ROBERT L. EHRLICH, JR., Governor                             Ch. 287

(ii) adjusted community rating; and
(iii) the prohibition on preexisting condition limitations.

(2)     For each additional benefit offered under this subsection, a carrier
shall accept or reject the application of the entire group.

(3)     The Commissioner may prohibit a carrier from offering an additional
benefit under this subsection if the Commissioner finds that the additional benefit
will be sold in conjunction with the Standard Plan in a manner designed to promote
risk selection or underwriting practices otherwise prohibited by this subtitle.

[(d) (1) A benefit offered in addition to the Standard Plan to lower the
cost-sharing arrangement in the Standard Plan in accordance with § 15-301.1 of the
Health - General Article is subject to:

(i)     guaranteed issuance;

(ii)    guaranteed renewal;

(iii)   adjusted community rating; and

(iv)    the prohibition on preexisting condition limitations.

(2) A carrier that offers a benefit under this subsection shall be required
to guarantee issuance and guarantee renewal of the additional benefit only to
employers who are participating in the MCHP private option plan established under
§ 15-301.1 of the Health - General Article.]

(D) (1) A CARRIER MAY NOT OFFER A BENEFIT IN ADDITION TO THE
LIMITED BENEFIT PLAN, EXCEPT FOR AN ADDITIONAL BENEFIT TO LOWER THE
COST-SHARING ARRANGEMENTS IN THE LIMITED BENEFIT PLAN.

(2)      EACH BENEFIT OFFERED IN ADDITION TO THE LIMITED BENEFIT
PLAN IS SUBJECT TO ALL OF THE PROVISIONS OF THIS SUBTITLE APPLICABLE TO
THE LIMITED BENEFIT PLAN, INCLUDING:

(I)      GUARANTEED ISSUANCE;

(II)     GUARANTEED RENEWAL;

(III)   ADJUSTED COMMUNITY RATING; AND

(IV)    THE PROHIBITION ON PREEXISTING CONDITION LIMITATIONS.

(3)      THE COMMISSIONER MAY PROHIBIT A CARRIER FROM OFFERING AN
ADDITIONAL BENEFIT UNDER THIS SUBSECTION IF THE COMMISSIONER FINDS THAT
THE ADDITIONAL BENEFIT WILL BE SOLD IN CONJUNCTION WITH THE LIMITED
BENEFIT PLAN IN A MANNER DESIGNED TO PROMOTE RISK SELECTION OR
UNDERWRITING PRACTICES OTHERWISE PROHIBITED BY THIS SUBTITLE.

SECTION 3. AND BE IT FURTHER ENACTED, That:

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Session Laws, 2004
Volume 801, Page 1077   View pdf image
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